How to Stop the 'Dues Skim' of Federal Home Health Care and Child Care Funding

United States taxpayers currently spend $545 billion annually on the federal government’s Medicaid program. This money is meant to aid the disabled and vulnerable and to support low-income families. However, millions of these dollars are being redirected before they ever reach the people they are meant to support.

About $41.5 billion of Medicaid funds are sent to states through the Home and Community-Based Services “waiver” program.This waiver allows those eligible for Medicaid — individuals suffering from a disability, illness or other affliction — to use these funds to pay for in-home care, as opposed to enrolling in an institution. These in-home services are often provided by family members or friends, or other local, independent providers. Medicaid payments are sent directly to these providers on behalf of their Medicaid-eligible “client.”